<!DOCTYPE html PUBLIC "-//W3C//DTD HTML 4.01 Transitional//EN" "http://www.w3.org/TR/html4/loose.dtd">
<html>
<head>
<meta http-equiv="Content-Type" content="text/html; charset=UTF-8" />
<link rel="stylesheet" href="template.css"/>
</head>
<body>
	<div>
		<table width="80%" cellspacing="0" border="1" cellpadding="0">
			<tbody>
				<tr>
					<td width="50%" class="headerTitleCell">
						<div style="font-weight: bold;padding-top: 5px;">CEATIN</div>
						<div>Centro de Atencion Integral</div>
					</td>
					<td width="50%" class="headerTitleCell">
						<div style="font-weight: bold;padding-top: 5px;">SEGUMIENTO DE PACIENTE</div>
						<div style="padding-top: 5px;">Fecha: $dateTool.format('dd/MM/yyyy',$dataModel.date)</div>
					</td>
				</tr>
				<tr>
					<td colspan="2" class="headerTitleCell"><b>Nombre:&nbsp;</b>$dataModel.patient.fullName</td>
				</tr>
				<tr>
					<td colspan="2" class="headerTitleCell"><b>Documento:&nbsp;</b> #if ($dataModel.patient.documentNumber) 
																$dataModel.patient.documentNumber 
															#end
					</td>
				</tr>
				<tr>
					<td colspan="2" class="headerTitleCell">
						$dataModel.log
					</td>
				</tr>		
				<tr>
					<td colspan="2" class="headerTitleCell">
						<b>Especialista:&nbsp;</b>$dataModel.specialist.fullName
					</td>
				</tr>
			</tbody>
		</table>
	</div>
</body>
</html>